Omega 3 Fish Oil May help Wet Macular Degeneration.

A new study shows that omega-3 fatty acids could help with wet macular degeneration. Macular degeneration is expected to increase by 50% in older adults in industrialized countries by 2020. As the leading cause of vision loss in the elderly, it is a condition of serious significance. The macula is the central part of the retina. While it makes up only about 2% of the total retina, the brain devotes half of its visual processing network to information from the macula. It is responsible for central vision. The retina is a thin layer of nerves and visual receptors at the back of the eye that houses the rods and cones. It transmits visual signals to the brain. It is supported by the choroid, a network of blood vessels that feed and nourish the retina.

There are two forms of macular degeneration: wet and dry. In wet macular degeneration the chief cause of vision loss is the growth of new blood vessels (neovascularization) in the choroid. These new blood vessels then leak blood, adding debris that clouds the retina and sometimes results in a retinal detachment. One potential treatment for wet macular degeneration is reducing neovascularization (new blood vessels) with a series of injections such as Lucentis, Avestin or Eylea.

A new in vivo study shows that omega-3 fatty acids can radically reduce neovascularization in the choroid. The effect seems to be the result of metabolites of omega-3 fatty acids produced by the cytochrome P450 enzyme system. Mice fed omega-3′s had statistically significant lower rates of neovascularization. This offers promising hope for those suffering from wet macular degeneration, which comprises about 10% of all AMD cases.

Omega-3 fatty acids are found most plentifully in fish oil and krill oil, which is readily available in health food stores. There are vegetarian versions as well through algae sources.

Study: Cytochrome P450-generated metabolites derived from ω-3 fatty acids attenuate neovascularization, PNAS, www.pnas.org/cgi/doi/10.1073/pnas.1401191111

Learn more about macular degeneration. Click here

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Anti-Aging, Preserve and Improve Vision

It is believed that macular degeneration is a caused at least in part by accumulation of unwanted proteins, lipids and debris in the eye.

TheraLife MaculaEye formula works to improve the integrity of the retina membrane by preserving and improving permeability to optimize fluid and protein transport.

This facilitates the transport of unwanted lipids, proteins out of the eye in order to improve and prevent vision loss.

Preserve Your Vision With MaculaEye

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Elimination Diet to Relief Dry Eyes

 

Colorful fresh group of vegetables and fruitsI have been taking TheraLife Eye for 4 years now.  I have allergies and my eyes are always itchy.  Recently, I tried and Elimination Diet which gave me further improvement.

This diet includes, No Gluten, No refined sugar, No dairy, and No caffeine. Also No GMO corn products. After two weeks on the diet, I had an appreciative change in my eye health – No redness, always moist and no itching senzation. This diet is not difficult to follow as one may think because  many restaurants provide great choices nowadays to allow you to stay on this diet, including Starbucks with no caffeine passion ice tea.   I continue to take TheraLife Eye for dry eye relief.  Adding this diet allowed me to be allergy free.

KA  Thousand Oaks, CA

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Azithromycin -Better Than Doxycycline for Meibomian Gland Dysfunction.

Azithromycin more effective than Doxycycline for Meibomian Gland Dysfunction and Blepharitis.

There are several studies concerning the use of topical azithromycin in ocular surface diseases. . Dr. Gary Foulks and his group at the University of Louisville compared the effectiveness of topical azithromycin versus oral doxycycline therapy in meibomian gland dysfunction ( Belpharitis) Twenty-two subjects were treated with topical azithromucin solution for one month and seven subjects were treated with oral doxycycline for two months. The study concluded that while both topical azithromycin and oral doxycycline improved clinical signs and symptoms of meibomian gland dysfunction, the “response to azithromycin is more rapid and more robust than doxycycline.”

Yet another study from the Ohio State University School of Optometry evaluated the efficacy of a four-week treatment with topical 1.0% azithromycin solution versus rewetting drops in patients with contact lens related dry eye. An over two-hour improvement in comfortable contact lens wear time was noted throughout the four-week study period with azithromycin solution use.

Blepharitis being a chronic inflammation of the eye lid goes hand in hand with chronic dry eyes. Here is how TheraLife Eye can help!

How can TheraLife Eye Help?

TheraLife Eye is an all natural oral formula that treats from inside out! It is uniquely formulated to restore normal cell functions to tear secretion glands intra-cellularly for sustainable, long lasting relief. Clinically proven to work for 80% of first time users.

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REFERENCES
1. Berman BM, Langevin HM, Witt CM, et al. Acupuncture for Chronic Low Back Pain. N Engl J Med 2010; 363:454-461.
2. Cassileth BR, Deng GE, Gomez JE, et al. Complementary therapies and integrative oncology in lung cancer: ACCP evidence-based clinical practice guidelines (2nd ed). Chest 2007;132(3 Suppl):340S-354S.
3. Li S, Yu B, Zhou D, et al. Acupuncture for Attention Deficit Hyperactivity Disorder (ADHD) in children and adolescents. Cochrane Database Syst Rev 2011 Apr 13;4:CD007839.
4. Shaw KS, Bower KS, Mines MJ,et al. Does acupuncture treatment benefit dry eye? Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 3839.
5. Hom MM. False staining appearance with lissamine green. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 1968.
6. Ocasio MA, Galor A, Zheng DD, et al. Trends in dry eye medication use and expenditures: Medical expenditure panel survey 2001 – 2006. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 5529.
7. Chi SL, Acquah K, Richard MJ, et al. Relation between punctual plug usage and reimbursement amongst medicare beneficiaries. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 3852.
8. Mudgil P. Effect of hyperosmolarity on the antimicrobial properties of tear proteins. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 1486.
9. Foulks GN, Borchman D, Yappert MC. Comparative effectiveness of azithromycin and doxycycline in therapy of meibomian gland dysfunction. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 3816.
10. Bickle KM, Nichols KK, Haque R, et al. Efficacy of topical azithromycin ophthalmic solution 1.0% in the treatment of contact lens-related dry eye. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 3842.
11. Senba K, Miyamoto T, Eguchi H, et al. The efficacy of oral pilocarpine for the treatment of dry eye symptoms in patients with aqueous tear deficiency and evaporative dry eye. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 3837.
12. Miyamoto T, Eguchi H, Mitamura Y. An original administration of oral pilocarpine (Salagen tablet 5 mg) for dry eye. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 3835.
13. Labbe A, Brasnu E, Van Went C, et al. Tear film osmolarity in patients treated for glaucoma or ocular hypertension. Invest Ophthalmol Vis Sci 2011; 52 (6): E-abstract 218.
14. VanWent C, Alalwani H, Brasnu E, et al. Corneal sensitivity in patients treated for glaucoma or ocular hypertension. Invest Ophthalmol Vis Sci 201

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Punctal Plugs – Dry Eye Treatment-

Punctal plugs may not work for everyone who has dry eyes.  Here are some of the reason you should be aware of before getting them instilled in your eyes.

What are Punctal Plugs?

Punctal plugs are designed to plug up the tear ducts to stop the drainage of tears into your sinus.  Punctal plugs are often used for people who do not respond to eye drops.

Tear ducts function by providing drainage for debris and bacteria to drain and clean the eye.

Possible outcomes by of punctal plugs:

1. When the tear ducts are plugged, the accumulation of bacteria and dirt increase the chances for eye infections

2. Some people experience irritation, swelling, due to allergic reactions to the punctal plug materials.

3. Punctal plugs can be removed by flushing with saline.

4. Punctal plugs often fall out by themselves.

Why punctal plugs do not always work for chronic dry eye?

For people with severe chronic dry eyes, there are simply not enough tears to shore up, therefore, punctal plugs are not enough!

How does your tear secretion glands work?

There are two important tear secretion glands that need to work simultaneously in order to relief dry eye symptoms.

1. Lacrimal gland which secretes tear volume.

2. Meibomian gland which secrete mucin, lipids, and proteins to thicken the tear.

Both glands must function together in order to provide tear with the right thickness (viscosity) and tear volume to provide comfort.

How can TheraLife Eye help?

TheraLife® Eye works by restoring normal cell functions to both lacrimal and meibomian glands.  The result is balanced, sustainable tears from your own eye to provide comfort all day long.   Learn more

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Can Menopause Cause Dry Eyes?

Menopause and Dry Eye affects more than 60% of the women over 50.  Hormone imbalance is the key reason.  Symptoms of menopause hot flashes, insomnia, vaginal dryness, mood swings, fatigue, headaches and dry eyes.  The eyes usually feel dry, itchy, red, irritated and light sensitive.

The most common solution for dry eye remains to be eye drops-, which covers up the symptoms, and over time with frequent usage, the drops wash away the mucin, lipids and proteins that protect the eye.

When using eye drops, the eyes become conditioned to secrete less tears and become drier.  Another conventional approach is to block the eyes tear drainage system (punctal plugs) at the lower eyelids or sometimes both lower and upper eyelids.  In some cases, the drainage is permanently cauterized (closed) in order to back up tears to provide comfort.  In most cases, the plugs fall out, and the chances of eye infections increase due to poor drainage.

For moderate to severe dry eyes, very often, a prescription eye drop is used.  When patients have tried all these approaches and their eyes still hurt that is where TheraLife Eye Enhanced can help.

Why TheraLife Enhanced Dry Eye?

TheraLife Eye Enhanced is an all natural botanical product that stimulates the tear glands to secrete sustainable, balanced,  natural tears.  It does so by an intra-cellular mechanism called Mito-Activiation where intracellular activities of the tear glands increase and restore its normal function.  TheraLife has conducted clinical trials in patients with various dry eye and medical conditions with amazing results.  See section below, which describes the TheraLife Eye Enhanced Difference.

Hormone Balance is Vital to Menopausal Dry Eye in Women.

Menopausal dry eye is usually initiated by hormone imbalance.  For this reason, TheraLife sought for a product that will help achieve hormone balance during dry eye therapy in conjunction with TheraLife Eye Enhanced.

TheraLife Eye- Women’s Menopausal Support Formula is formulated to the exacting specifications of certified nutritionists. It contains recommended potencies of key ingredients, Black Cohosh plus soy isoflavones are combined with essential nutrients like calcium, folic acid, and B-vitamins, that have been shown to support normal hormonal levels during menopause. This synergistic blend includes standardized herbal extracts and other nutrients which, together, form a truly well-balanced and effective product for women. an all-natural, herbal supplements made with natural ingredients to provide natural menopause symptom relief including dry eyes.  These work naturally in the body to reduce hot flashes, night sweats, and other menopausal symptoms.

Recommended Dosage TheraLife Eye-  Women’s Menopause Support:

TheraLife recommends 3 capsules/day of the TheraLife Dry Eye- Women’s Menopausal Support formula per day to produce optimum dry eye relief, taken along with TheraLife Eye Enhanced capsules.

Safety:

TheraLife Eye –Women’s Menopausal Support product has been tested to meet the highest standards. There are no known major side effects from the recommended use of TheraLife Menopausal

Support.  It does not contain artificial dyes, colors, preservatives, flavors, yeast, wheat, gluten, or lactose. Our top priority is our customers’ safety and satisfaction.

In addition to TheraLife Eye Enhanced, ThearaLife Eye- Women’s Menopause Support, we also recommend Primrose Oil and Fish Oil.  See section under Total Support for Menopause Dry Eye.

In addition to TheraLife Eye Enhanced, ThearaLife Eye- Women’s Menopause Support, we also recommend Primrose Oil and Fish Oil.

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Dry Eye Complaints in Doctor’s Offices.

Complaints for dry eyes ranks highest in patient complaints in the eye doctor’s offices compare to all other ailments.

Some interesting facts reported by  the “Industry News” article  AOA News

1) About half of all adults (48%) in United States experience one or more dry eye symptom(s) regularly.  That means out of 200 million people in United States, 96 million experience dry eye symptoms.

2) Ninteen Percent ( 19%) of women age 55 and older have experienced dry eye symptoms for more than 10 years.

3) More than half (69%) who experience one or more dry eye symptom(s) have not visited an eye doctor to treat these symptoms.

4) Of those who visited an eye doctor to treat their dry eye symptoms, nineteen percent (19% )visited more than once before finding relief and 22% reported that they still have not found relief.

The statistics are staggering.   Dry eye syndrome can impact quality of life, productivity,  work and can cause depression, among other ailments

The most common treatment has always been eye drops with or without preservatives.  Some use eye drops as often as every hour, and their eyes become drier and drier over time.  At the center of the problem s “inflammation” which  causes the tear secretion glands to shut down, eye drops only provide superficial temporary relief on the surface.  The underlying cause of dry eyes is under active tear secretion glands.

How can TheraLife Help?

TheraLife Eye addresses the underlying cause of dry eyes from inside out.  It revitalizes your tear secretion glands for you to produce your own tears.

In clinical trials, 80% of first time users experience relief.  Tear is balanced, sustainable and long lasting.

TheraLife Eye is all natural, effective and 100% guaranteed.

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Dry Eye Disease Management in Clinical Practices.

 

eye check up 121optometrists.co.uk

We see a lot of dry eye customers who has gone to their eye doctor’s, and not getting relief.  This research study shows the perceptions of the dry eye disease management in current clinical practices.

Study Goal To assess the perceptions of eye care providers regarding the clinical management of dry eye.

METHODS: Invitations to complete a 17-question online survey were mailed to 400 members of the North Carolina Ophthalmology and Optometry Associations including community optometrists, comprehensive ophthalmologists, and cornea specialists.

Clinical Symptoms from patients.

1. Burning- most often complained symptom.

2. Foreign Body Sensation. P

3. Watery eyes

Treatment Recommendations

1. Artificial Tears – most often recommended

2. Cyclosporin A

High rate of failure is observed using eye drops

Other disorders in addition to dry eye disease.

1. Rheumatoid arthritis,

2. Sjögren syndrome,

3. Anxiety and depression,

4. LASIK, Smoking, Thyroid Diseases

CONCLUSIONS: The survey provided an informative snapshot into the preferences of eyecare providers concerning the diagnosis and management of dry eye disease. Overall, burning was the most common symptom reported by patients. Providers relied more on patient history in guiding their clinical decisions than objective signs. The survey underscores the incongruence when comparing subjective symptoms with objective signs, thereby highlighting the urgent need for the development of reliable metrics to better quantify dry eye symptoms and also the development of a more sensitive and specific test that can be used as the gold standard to diagnose dry eye.

This is an abstract from Opthalmology Management
Williamson JF, Huynh K, Weaver MA, Davis RM. Eye Contact Lens. 2014 Mar;40(2):111-5.

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Chalazion caused by Demodex in Blepharitis

Chalazion is a lipogranulomatous inflammation of the meibomian gland. Due to the infiltration of giant cells in this chronic inflammatory granuloma, it is suspected that chalazia may be caused by a host response to foreign material derived from several pathogens, including mites. Demodex folliculorum and Demodex brevis are the most common mites that stay on the surface of our bodies. Prevalence in younger patients, less than 20 years of age is about 13 to 20% and this increases with age and approaches to 95 to 100% by age of 70 years.1-3 A few reports have described the presence of mites in tissue sections of a surgical specimen4 and in lashes of an adult patient with chalazia.5 Recently, Yam and co-workers conducted a retrospective study that reported a high incidence (72.9%) of Demodex infestation in 30 adult patients with recurrent chalazia.6

This week’s abstract focuses on a prospective, observational, comparative study that looked at patients with chalazia (44 adult and 47 pediatric patients) and compared them with age and gender matched patients (34 adult and 30 pediatric) without chalazia.7 This study was conducted at the Zhongshan Ophthalmic Center (Guangzhou, China). Eyelash samples were collected and examined under a microscope for the identification and counting of Demodex mites. All patients (n=91) with chalazia underwent surgical removal of the lipogranulomatous lump and 74 of them were followed up for approximately 18 months after surgery. This study showed Demodex infestation was significantly more prevalent in patients with chalazia than in control patients as a group (69.2% vs 20.3%) and also when grouped into pediatric (70.2% vs 13.3%) and adult (68.2% vs 26.5%) subgroups (p < .001). Demodicosis was associated strongly with chalazia. Demodex brevis was significantly more prevalent than Demodex folliculorum in patients with chalazia. Patients with Demodex infestation tended to show recurrence, mainly in those with Demodex brevis.

This study suggests that ocular demodicosis is a risk factor for chalazia. Although crusts and debris on eyelashes is often a sign of Demodex infestation, eye doctors must pay careful attention for Demodex infestation while examining lumps and bumps on lids as well.

Treatment for Chalazion is hot compress – 4-5 times/day.  10-20 minutes each time.

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Prevent Computer, Smartphone, Tablet Eye Strain

Women rubbing eyes hurt-ifoundmydoctor.com

Vision is the sense most heavily relied on by modern, technological society. Hearing may come in as a close second, but even without a sense of hearing, we could still navigate most electronics. Without our eyes, that becomes a laborious task. But what, exactly, are the screens we look at so much, doing to our eyes?

  • Damage to Retina

Those glowing flat panes, held mere inches from our face, emit a powerful light that can, opticians say, lead to permanent eye damage. Much of the light that comes out of a screen is blue-violet. Studies show that, over time, too much exposure to blue-violet light can injure the retina. Retina damage can lead to macular degeneration, the most common cause of geriatric blindness.

  • Radiation damage from microwave, radiation from cell phones.

Another source of eye injury is the microwave radiation emitted by cell phones. In an Israeli study, the lenses of calves (which strongly resemble humans) were exposed to the heat and the microwave level emitted by a cell phone. After two weeks, the cells showed signs of damage that limited their ability to focus light. Some had also irreversibly bubbled, a precursor to developing cataracts.

    • Slower Blink Rate

    A related problem is that when we focus on our screen tiny eye movements called saccades are disrupted.  Saccades deliver refreshed visual information to the brain and blinking momentarily disrupts the saccade.  So, when we need to focus our vision, gazing at our tablet, the blink rate slows so that we can continue the saccades without interruption.  And in turn, when blink rate slows, the protective tear film covering the surface of the eye begins to deteriorate. The tear film not only keeps our eyes moist, but brings nourishment and removes waste.  The end result is dry eye syndrome and red, irritated, tired eyes.

The average adult spends seven hours a day in front of a screen, and twenty-somethings check their cell phones about 32 times a day. The technology is too new to know how all that time will add up in later life, when our senses deteriorate anyway. Further research is needed to clarify potential risks.

Turn down screen brightness:
In the meantime, to be on the safe side, doctors  recommend turning down screen brightness and decreasing screen time when possible. Heavy users can also purchase a screen cover to decrease exposure. Avoid staring at a bright screen in dark lighting conditions, such as checking messages on your cell phone in a dark bedroom. Taking breaks, remembering to blink and attention to exercise, diet and proper supplementation can also help to prevent eye damage from screens.

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Treat Blepharitis- How To Do Eye Lid Cleaning

Baby shampoo has long been recommended as a means to clean the eyelids due to its gentle surfactant properties and affordability. Many clinicians doubt its efficacy, and patients almost always neglect our “as directed” recommendations, which beg the question of what is considered efficacious (and realistic). If we only want to recommend general wellness to the non-disease-bearing patient, then it may be enough—it has to be better than nothing! For the patient with lid disease though, baby shampoo fails to sufficiently reduce the microbial load, and more aggressive hygiene is needed.

There are a number of products available as a foam or pre-moistened wipe. Despite the significant overlap in their formulations, they all have a few key ingredients that differentiate themselves from the others and from baby shampoo. In the presence of blepharitis, frothy tears, small marginal infiltrates, etc., consider one of the following in your treatment plan:

  • SteriLid contains linalool, which is thought to condition the skin and maintain oils that have antimicrobial properties. Tea tree oil and sodium perborate, a preservative, both may, further reduce the bacterial load.
  • OCuSOFT Lid Scrub products are marketed as Original for mild to moderate disease or Plus for moderate to severe disease. These products contain 1,2-hexanediol and 1,2-octanediol, which can penetrate bacterial cell membranes, induce cellular leakage, and thus provide antibacterial properties.
  • Systane Lid Wipes contain benzyl alcohol, which is traditionally used as a preservative, though it may function to reduce bacterial counts when applied to the lid.

Since surfactant cleansers are capable of drying the skin, oil-based cleansers may be a reasonable alternative for some patients. Mineral oil is well tolerated and an excellent skin moisturizer that is capable of removing make-up and lash debris. (Personal testimonial: I have been using a mineral oil-based emollient to remove eye make-up for 15 years!) The antimicrobial effects of coconut oil have been well documented, and its extracts are found in each of the lid scrubs discussed above. Dilute tea tree oil shampoo can also be used, but take caution as it may cause irritation and is not recommended for children or pregnant women. So, help your blepharitis patients in reducing bacterial overgrowth of the eyelids; abandon the baby shampoo and recommend one of these more effective products.

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